Monday, April 14, 2008

Prevention & Treatment

  • Prevention:
    The most effective way to avoid transmission of genital herpes is to avoid from sexual contact, or to be in a permanent mutually monogamous relationship with an uninfected partner.

    The use of latex condom for both female and male helps in reducing the risk of genital herpes. Nonetheless, the genital area could not be covered completely by the condom. Infected individual who has no symptom with genital herpes also should abstain from sexual contact as the HSV-2 still could be transmitted to uninfected partner.

    Furthermore, since the HSV-2 can also be spread by touching another part of the body after touching the sores, one must wash hands with soap and water as soon as possible after touching the sores. Also, do not share towels or clothing with anyone.

    An infected pregnant woman is encouraged to have weekly viral cultures of the cervix and outer genitals part as the delivery date approaches. If the viral culture show positive result for herpes, or active lesions are present at delivery, a cesarean delivery is recommended to avoid infecting the baby.

    Figure: Male Latex Condom.
    OHSU: Safer Sex Guidelines.


    Figure: Female Latex Condom.
    Intellx Inc.: Condoms & contraceptives.

  • Treatment:
    There is no treatment that can cure herpes. However, antiviral treatment can help in relieve the symptoms.
    Nucleoside analogs such as aciclovir, valacyclovir and famciclovir are the antiviral drugs which have all been shown to be effective at reducing the severity and length of time of a genital infection.

    Besides, suppressive therapy may be helpful for individuals who suffer frequent recurrent outbreaks. This involves taking antiviral medications every day to prevent the virus from reactivating. Suppressive treatment will reduce outbreaks by 85% and reduces viral shedding by more than 90%.

    Nonetheless, these antiviral drugs may bring mild side effects like headache and nausea to the patient. Most doctors advise stopping suppressive therapy after a year in order to re-assess the activity of the disease, and to reduce the risk of the virus become resistance to the antiviral drugs. However, some patients need medication through a vein for severe herpes infections that can involve the brain, eyes, and lungs.

    In addition, using salt bath to wash the genital area can help in soothes, cleans and dries the sores. Loose cotton underclothes also enhance in minimizes discomfort and allows healing process.



    Figure: Aciclovir Tablets
    Germes LLC, 1999-2005, Germes Online:
    Aciclovir Tablets.



    Figure: Famciclovir
    Fair Drugstore, 2007: Famvir(Famciclovir).


    Figure: Valacyclovir
    NexTag, 2008: Valtrex(Valacyclovir).

References:
1. Health Beat, January 2008: ILLINOIS DEPARTMENT OF PUBLIC HEALTH, “Genital Herpes”. Internet: http://www.idph.state.il.us/public/hb/hbherpes.htm
2. Australian Herpes Management Forum, 1997-2007: “Genital Herpes”. Internet: http://www.ahmf.com.au/herpes/default.htm
3. MedLine Plus Medical Encyclopedia, March 2008: “Genital Herpes”. Internet: http://www.nlm.nih.gov/medlineplus/ency/article/000857.htm

Comments and inquiries are always welcome.

Prepared by Wong Li Chin 1071113696


1 comment:

Barbara Macelli said...

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